Individual
DARCY DITTRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5020 NE ML KING JR BLVD, PORTLAND, OR 97211-3204
(203) 253-4217
Mailing address
5020 NE ML KING JR BLVD, PORTLAND, OR 97211-3204
(415) 741-0565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
142609
CA
Other
Enumeration date
05/22/2019
Last updated
09/24/2024
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